| NPI | 1013890755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MOORE CEO 916-740-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-08-06 |