| NPI | 1134667298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT HAMLIN Executive Director 805-739-1512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 1023-R) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |