| NPI | 1215131206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA ANNE MARTIN Cheif Executive Officer 916-797-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 310001EN) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |