NPI | 1023544863 |
---|---|
Entity Type | Organization |
Authorized Contact | BILLY MAYNARD President & CEO 916-353-6100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 01-006-01-120) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |