| NPI | 1750723193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO GILLAM Chief Executive Officer 559-981-2143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |