| NPI | 1437374774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEE SHELTON Program Manager Counselor/Counsel 209-888-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 390017bn) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2025-09-22 |