| NPI | 1467675918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKI L. WALKER Program Manager 805-898-1018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 420031AN) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |