| NPI | 1336648997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN HAMILTON Executive Director 209-485-3365 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |