| NPI | 1467867341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LEE DENSBY Inte RN/Counselor 916-544-8238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |