| NPI | 1659072965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICOLE FOSTER Executive Director 650-921-2261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |