| NPI | 1487834354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA VACA LOPEZ Perinatal Program Manager 805-564-6057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |