| NPI | 1497926505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST EUGENE MOTLEY Program Director 916-421-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 340066BN) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 340066BN) | |
| 251S00000X (Licence: CA 340066BN) | |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2011-04-19 |