| NPI | 1265247407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY KNUTSON Executive Director 916-203-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-13 |