| NPI | 1336980028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HARRIS CFO 530-632-8219 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-09-14 |