| NPI | 1992589311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEMI ANTHONY CEO 626-376-2975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-08-24 |