NPI | 1164636254 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT R. MASON Registered Addiction Specialist 510-374-7011 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA M0501041642) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2008-07-23 |