| NPI | 1316295082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA ANNE MARTIN Program Director 530-863-4720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 310021AP) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |