| NPI | 1497446181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA L PARKER Executive Director 209-291-1889 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 405300000X Prevention Professional | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |