| NPI | 1184247975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LANDPHERE Owner 707-248-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |