| NPI | 1780521575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON DEWITT CLARK Executive Director 510-910-2675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2026-04-30 |
| Last Update Date | 2026-04-30 |