| NPI | 1134095540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHA CARAVEO Member/CEO 916-415-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |