| NPI | 1942336169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY JENKINS Exexcutive Director 805-963-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |