| NPI | 1447347778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE HANNIGAN Senior Staff Analyst 530-245-6419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CA 4516) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |