| NPI | 1053701425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERKELEY BEAUDEAN DAINS CEO 805-506-1541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |