| NPI | 1063034130 |
|---|---|
| Doing Business As | CRISIS RESIDENTIAL PROGRAM IV |
| Entity Type | Organization |
| Authorized Contact | AL ROWLETT CEO 916-364-8395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2021-11-30 |