| NPI | 1760753990 |
|---|---|
| Doing Business As | CLEAN AND FREE |
| Entity Type | Organization |
| Authorized Contact | BELINDA BAKER Executive Director 323-294-1576 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |