NPI | 1861864118 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEILA CLAIBORNE Program Director 310-908-3856 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C1402211308) |
Enumeration Date | 2015-10-27 |
Last Update Date | 2015-10-27 |