| NPI | 1972070365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ERNEST LANE President 916-216-5721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |