NPI | 1003539776 |
---|---|
Doing Business As | REDWOOD RECOVERY CENTER LLC |
Entity Type | Organization |
Authorized Contact | KERRY DURKEE Cadcii 707-601-2969 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0800X Clinic/Center Recovery Care |
Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-09-19 |
Last Update Date | 2023-02-24 |