| NPI | 1306665633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITAIN DAVIS Owner 707-721-5592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-23 |