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 |