| NPI | 1467982017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND KARL HERR Chief Medical Officer 831-901-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-07-21 |