| NPI | 1477963247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYI SHAW Program Director 916-451-9312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA C340020) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |