NPI | 1912117938 |
---|---|
Doing Business As | ENLIGHTENMENT CHEMICAL DEPENDENCY PROGRAM |
Entity Type | Organization |
Authorized Contact | ARTHUR TISDALE Reg Admin 310-645-5227 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2007-05-22 |
Last Update Date | 2010-06-30 |