| NPI | 1790862720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KENNETH RIEDL Executive Director 916-338-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 103211032) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 340077AN) |
| 101YM0800X Counselor, Mental Health (Licence: CA PT 26123) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-09-11 |