| NPI | 1972247690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LOUISE BREILING CEO 707-365-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2023-06-29 |