| NPI | 1346041746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA BUIE Credentialing Coordinator 707-825-4182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |