NPI | 1821135393 |
---|---|
Doing Business As | THE GOODEN CENTER |
Entity Type | Organization |
Authorized Contact | APRIL J ANTONIOU Credentialing Services Manager 805-413-1318 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CA 190009AN) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2020-08-22 |