| NPI | 1902147036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASSEY ENUN Executive Director 310-532-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |