| NPI | 1821290941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINNIE THOMAS Executive Director 510-482-6490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 010011FN) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-12-13 |