| NPI | 1689701401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY GOTTLIEB Clinical Director 805-722-1314 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 420022EN) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 420022AN) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-01-26 |