| NPI | 1255941597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL M GRAHAM Compliance Manager 916-398-0729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2020-08-02 |