| NPI | 1033508783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE GARCIA Vice President 415-762-1498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C0506301713) |
| Additional Taxonomies | 251S00000X (Licence: CA C0506301713) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |