| NPI | 1962975789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN EZEQUIEL FLORES Counselor 818-997-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |