| NPI | 1346564606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY KLUVER Regional Director 559-627-1385 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |