| NPI | 1891010690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON WILLIAM HORNE Clinical Coordinator 831-809-8176 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 270003BN) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2019-05-03 |