| NPI | 1144583667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKIE ANGELO MARCHETTI Executive Director 925-779-6908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 070753) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-29 |