| NPI | 1215731294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS STUART MORTON CEO 916-784-1149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |