NPI | 1235633173 |
---|---|
Entity Type | Organization |
Authorized Contact | DANITA LYNN SANDS President 916-532-4044 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 310023BP) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2018-03-23 |
Last Update Date | 2022-04-21 |