| NPI | 1447737333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK JAY AUSTIN CEO/Pa 916-385-4438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |