| NPI | 1487067922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MELENA Caseload Manager 805-714-4163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |