NPI | 1487902151 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORA ANNE MARTIN Program Director 530-863-4720 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 310021AP) |
Enumeration Date | 2012-08-28 |
Last Update Date | 2012-09-13 |