| NPI | 1487031472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SMITH Executive Director Reimbursement 209-955-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 700143) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2025-05-20 |