| NPI | 1952540205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHRAM I OGOKE Executive Director 310-650-2271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |