| NPI | 1619928710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS JAY HOLLINGSWORTH Counselor 916-448-2951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2022-07-21 |