| NPI | 1568710747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY L ALSDURF Program Director 530-533-5272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 040024AP) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |