NPI | 1093059065 |
---|---|
Entity Type | Organization |
Authorized Contact | BECKY JOHNSON Executive Director 916-514-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 340101AP) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2013-05-24 |