| 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 |