NPI | 1144676859 |
---|---|
Doing Business As | FIRST STREET CENTER OUTPATIENT SUD |
Entity Type | Organization |
Authorized Contact | SCOTT CHARLES HOLLANDER Chief Operating Officer 559-732-8086 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2016-05-11 |
Last Update Date | 2016-05-11 |