| NPI | 1104128123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYLE JEAN STANLEY Executive Director 707-527-0412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 490004EN) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |