| NPI | 1548564990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIINANA KWEKU Counselor 707-631-0276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2011-03-15 |