NPI | 1528227840 |
---|---|
Doing Business As | CLEAN & SOBER RECOVERY HOME INC. |
Entity Type | Organization |
Authorized Contact | JOHN DAVID PERRY President 916-990-0190 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 340093AP) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2016-07-19 |