| NPI | 1023567427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA J ALVAREZ Program Director 707-523-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |