NPI | 1205030103 |
---|---|
Entity Type | Organization |
Authorized Contact | MIMI G. DONOHUE Executive Director 707-571-2215 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 4931) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2011-05-27 |