| NPI | 1265738124 |
|---|---|
| Doing Business As | BHRS LOS BANOS ALCOHOL AND DRUG SERVICES |
| Entity Type | Organization |
| Authorized Contact | KURT CRAIG Compliance Officer 209-381-6818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2019-08-08 |