NPI | 1568736403 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES DALTON GERLACH Managing Member 805-636-6335 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 420035AP) |
Enumeration Date | 2012-02-23 |
Last Update Date | 2012-02-23 |