| NPI | 1962641357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS EUGENE SLIDER CEO 916-421-1184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TP0016X Psychologist Prescribing (Medical) (Licence: CA A62263) |
| 101Y00000X Counselor | |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2010-01-20 |