| NPI | 1114176831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA C BARNARD Executive Director 805-346-8185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2019-08-12 |