| NPI | 1760602965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MICHAEL VELASQUEZ Executive Director 310-324-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |