| NPI | 1942664834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATEMEH FARAHAN Owner 310-962-5935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |