| NPI | 1700920477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN ARTHUR CROOM Alcohol Drug Counselor 760-243-1176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 00339) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |