| NPI | 1528174737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE RADINO Ownwer Adminstrator 209-527-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 500004ap) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-06-11 |