| NPI | 1225568603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA L COLOMBO Executive Director 925-949-8712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 169189) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |