| NPI | 1215920921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN B BLACKSHER Executive Director 916-338-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 340009AN) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2007-08-13 |