| NPI | 1396250056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY PALAU Executive Director 831-298-5482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 440010AN) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2021-03-23 |