| NPI | 1679395990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA NICOLE OCHOA Chief Financial Officer 209-467-6442 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |