| NPI | 1750559779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA VERKHOVSKY Director Of Hr 213-213-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2011-06-20 |