| NPI | 1518637719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAREN JOHNSON CEO 916-218-8367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |