| NPI | 1780818179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GUNTLEY Program Manager 707-472-2607 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QC1500X Clinic/Center Community Health | |
| 261QM2800X Clinic/Center Methadone | |
| 261QP0904X Clinic/Center Public Health, Federal | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |