| NPI | 1659244853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEEGAN DAVIS Chief Strategy Officer 559-708-7704 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-10-21 |