| NPI | 1386907418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN M CARVER CEO 800-759-1930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300260AP) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2017-03-22 |