| NPI | 1073089256 |
|---|---|
| Doing Business As | SUN STREET CENTER SOBERING CENTER |
| Entity Type | Organization |
| Authorized Contact | GORDON WILLIAM HORNE Clinical Supervisor 831-809-8176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 405300000X Prevention Professional |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |