| NPI | 1760828594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER CHARLES DODD Executive Director 415-205-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 40-01) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |