NPI | 1982017844 |
---|---|
Other Name | ARBOR OUTPATIENT DRUG FREE CLINIC / RESOURCE CENTER |
Entity Type | Organization |
Authorized Contact | VICTORIA JERSUHA KELLY Chief Executive Officer 707-467-2010 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 251B00000X Case Management |
252Y00000X Early Intervention Provider Agency | |
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2014-06-09 |
Last Update Date | 2024-01-08 |