| NPI | 1497748107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN B BLACKSHER Executive Director 916-338-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 340003AN) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2020-08-22 |