| NPI | 1104331933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA J ALVAREZ Program Director 707-523-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |