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 |