| NPI | 1528335791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIBA JEAN BELL Executive Director 209-684-6542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2021-05-11 |