NPI | 1023310430 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE SMITH Executive Director Ar And Reimb. 209-955-2364 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 157206291) |
Enumeration Date | 2010-11-18 |
Last Update Date | 2023-11-30 |