NPI | 1417252032 |
---|---|
Doing Business As | THE LAST RESORT |
Entity Type | Organization |
Authorized Contact | MIGNON NICOLE HEARST Office Manager 209-523-6910 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 507004599) |
Enumeration Date | 2011-01-12 |
Last Update Date | 2013-08-07 |