| NPI | 1255078747 |
|---|---|
| Doing Business As | CAMPOBELLO |
| Entity Type | Organization |
| Authorized Contact | THOMAS J JORDAN CEO 707-533-2870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-05-16 |