| NPI | 1659083178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH HALE President 831-818-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center Community Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 261QU0200X Clinic/Center Urgent Care | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 333300000X Emergency Response System Companies | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2023-08-28 |