| NPI | 1972812071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN BARNES President 310-541-6350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 1960SAP) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |