| 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 |