| NPI | 1437886595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEARE PARKER Practice Manager 916-667-2613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-25 |