| NPI | 1215177290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY MARTINEZ Program Manager 916-394-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 340004bn) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |