| NPI | 1295868305 |
|---|---|
| Other Name | STANISLAUS RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | RUBEN IMPERIAL Behavioral Health Interim Director 209-525-6225 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2019-10-11 |