| NPI | 1639906258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER SOILAND Owner 707-206-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |