NPI | 1063064715 |
---|---|
Entity Type | Organization |
Authorized Contact | MELODY MAGUIRE Outpatient Services Manager 707-544-3295 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2019-07-12 |
Last Update Date | 2019-07-12 |