| NPI | 1699216861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS MARILYN WODIN President 805-341-2482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |