| NPI | 1780244830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY GARAY Program Director 323-313-4399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |