NPI | 1346786696 |
---|---|
Entity Type | Organization |
Authorized Contact | BEN A PAHLAVAN CAO 707-338-5927 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2017-01-10 |
Last Update Date | 2020-11-17 |