| NPI | 1093485336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA CAROL MATTHEW Therapist 707-981-0289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |