NPI | 1013466952 |
---|---|
Other Name | A NEW PATH MARIN, LLC |
Entity Type | Organization |
Authorized Contact | ROBERT EDWARD MOCKLEY CIO/Owner 970-366-0494 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 210047AP) |
Enumeration Date | 2016-10-03 |
Last Update Date | 2016-12-15 |