| NPI | 1831329903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNESSA JEAN JOHNSON Program Adminstrator 510-232-7571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |