NPI | 1003177825 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY WADE BALLARD Executive Director 530-229-1704 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 450023AP) |
Enumeration Date | 2012-06-07 |
Last Update Date | 2012-06-07 |