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 |