NPI | 1164089439 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE SMITH Executive Director Ar And Reimburse 209-955-2364 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2019-05-22 |
Last Update Date | 2025-05-20 |