| NPI | 1447842992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARAS MANI SHARMA Managing Member 916-673-7191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |