| NPI | 1346709151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J DUBOIS Mgr 707-564-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |