| NPI | 1497575989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY RODRIGUEZ CEO 209-513-2910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-10 |