| NPI | 1962291484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEHNELL LIVINGSTON-TURNER COO 209-329-1014 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-01 |