| NPI | 1326352188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HATTIE SMITH-MILES Director/Owner 707-553-1042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 480010AN) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 480010DN) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 480010BN) | |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |