| NPI | 1851583439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIESHA D PRICE Executive Director 323-933-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA None) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |