NPI | 1548552953 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS WHITING Administrator 805-228-2826 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190694AP) |
Enumeration Date | 2011-05-04 |
Last Update Date | 2011-05-04 |