NPI | 1487407136 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL EMILLIO CHATHAM Administrator 707-695-2387 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2024-04-10 |
Last Update Date | 2024-04-10 |