NPI | 1104200773 |
---|---|
Doing Business As | COAST VALLEY SUBSTANCE ABUSE TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | EDWIN MATTHEW HAMLIN Executive Director 805-739-1512 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2015-07-14 |
Last Update Date | 2015-07-14 |