| NPI | 1497681688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MACHADO Cheif Executive Officer 209-526-1476 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2026-06-23 |
| Last Update Date | 2026-06-23 |