| NPI | 1386866085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLARD HOLMAN Director 209-942-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 390013AN) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |