| 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 |