| NPI | 1932853363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HUDAK Director Of Operations 562-322-7240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-02-04 |