| NPI | 1023826708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MENTESH CEO 916-622-4017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2024-12-26 |