NPI | 1164010567 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE HENRY BRENARD Chief Operating Officer 707-683-5201 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2021-01-02 |
Last Update Date | 2021-01-02 |