| NPI | 1376885574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PRUITT N CAC 916-922-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA I8316110) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |