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 |