| 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 |