| NPI | 1508389958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAR CANNON Director Of Marketing 916-388-9418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-18 |