| NPI | 1467717249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD JOSEPH BORDENAVE Drug Counselor 530-344-6457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-18 |