| NPI | 1033644331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELCIE R GUTHRIE COO 657-464-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300009AP) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2018-02-22 |