| NPI | 1487250692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MARTINEZ President 888-517-3268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-11 |