| NPI | 1134579832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE S KINSTLER CEO 916-212-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |