| NPI | 1477145480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY HANNAH DYANN MILLER Executive Director 209-568-7544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |