SAMUEL TERRANCE HARGROVE

VALLEJO, CA
NPI1043497522
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-01-27
Last Update Date2008-01-27
Business Address
-- SAMUEL TERRANCE HARGROVE
408 TENNESSEE ST
VALLEJO, CA 94590-4453
Phone number: 707-554-2397
Mailing Address
-- SAMUEL TERRANCE HARGROVE
116 E K ST
BENICIA, CA 94510-3243
Phone number: 707-704-4638