| NPI | 1366215196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE BENTLEY Program Director 916-896-1061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2025-12-17 |