NPI | 1760665582 |
---|---|
Entity Type | Organization |
Authorized Contact | KESTER JACKSON OUDNEY Program Director 310-549-5532 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2007-12-14 |
Last Update Date | 2007-12-14 |