| NPI | 1477449783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR MIRELES CEO 209-817-1315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-06-13 |