| NPI | 1043625346 |
|---|---|
| Doing Business As | A WISE RETREAT |
| Entity Type | Organization |
| Authorized Contact | VANNESSA LINDSEY Administrator 916-862-4236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |