| NPI | 1861212284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVA MOORAD Founder / Owner 209-990-8733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 251300000X Local Education Agency (LEA) | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |