| NPI | 1972648699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS ALAN BROWN Executive Director 310-360-8512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 190286AN) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2018-06-21 |