| NPI | 1013792613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF JEFFERY President 805-332-3439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |