| NPI | 1447577598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEA WILLIAMS Program Director 916-515-7882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |