| NPI | 1881186245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA WESTCOTT Senior Case Manager 800-474-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A017010315) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |