| NPI | 1548404353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS EUGENE SLIDER CEO 916-429-6341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA A67184) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |