NPI | 1366892838 |
---|---|
Entity Type | Organization |
Authorized Contact | IAN ROY Insurance Director 916-533-4285 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2016-06-15 |
Last Update Date | 2020-05-20 |