| NPI | 1952748246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINE E MATHIS Substance Abuse Counselor 310-608-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: CA 952289916) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |