| NPI | 1104026004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON HORNE Clinical Coordinator 831-809-8176 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 270003N) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2018-06-13 |