| NPI | 1346885969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY JENNINGS CEO 916-571-6291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |