| NPI | 1790151280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA BAKER Executive Director 323-202-8432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |