| 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 |