| NPI | 1669249728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LEE NELSON Owner 559-371-8823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2023-12-08 |