| NPI | 1316486368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALOK KRISHNA Medical Director 916-222-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2023-04-20 |