NPI | 1598227910 |
---|---|
Former Legal Business Name | BREAKING THE CYCLE OF ADDICTION |
Entity Type | Organization |
Authorized Contact | MARION CORNELIUS WOLFE President 916-583-1035 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2019-04-03 |
Last Update Date | 2020-02-20 |