| NPI | 1740699214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LEE DENSBY Inte RN/Counselor 916-395-3552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |