NPI | 1457484362 |
---|---|
Entity Type | Organization |
Authorized Contact | EZEQUIEL VEGA COO 831-755-4510 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2007-03-13 |
Last Update Date | 2020-08-22 |