NPI | 1265069355 |
---|---|
Entity Type | Organization |
Authorized Contact | EVANNE BREE JACKSON Sud Counselor Ii 909-624-1233 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2020-03-26 |
Last Update Date | 2020-03-27 |