| NPI | 1194056358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLAND BINFORD Insurance Officer 888-853-3869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300198AP) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2012-10-03 |