| NPI | 1609387117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN RIMMER Executive Director 209-479-1536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |