| NPI | 1124355896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEESHA EDWARDS Clinical Program COO Rdinator 530-245-6872 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CA 4523) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2024-06-14 |