| 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 |