| NPI | 1164580585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S CAULK CEO 916-325-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 25950817) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2009-02-26 |