| NPI | 1376369835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANDREA JONES-BELL Owner 916-430-3765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 305S00000X Point of Service | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-16 |