| 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 |