| NPI | 1558554915 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | CHARLSIE RUTH HUDSON CEO/Director Of Programs 209-817-5720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 390030AN) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |