| NPI | 1376057182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY HARRISON Executive Director 707-445-0869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 120005AN) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2018-03-17 |