| NPI | 1235851965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE GEHRUNG Program Manager 530-242-5709 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |