| NPI | 1497194724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NHAN Director 707-483-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA FN0521840) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |