| 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 |