| NPI | 1295168599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ADAM HENIGAN Program Director 916-801-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-08-10 |
| Last Update Date | 2013-08-10 |