| NPI | 1205970266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EDWARD ELDREDGE Evening Program Manager 805-740-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 014619) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |