NPI | 1679290035 |
---|---|
Entity Type | Organization |
Authorized Contact | INGA ABGARYAN CEO 707-500-3030 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-10-25 |
Last Update Date | 2024-09-18 |