| NPI | 1063234243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY MCCANN Co Founder 707-742-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |