| 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 |