| NPI | 1316484439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL M SMITH Owner/Director 530-662-5727 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA A03430315) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2020-06-22 |