| NPI | 1083765366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ARLENE TAYLOR Program Director 209-575-2013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: 500013EP) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |