| NPI | 1629496187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL SCOTT BRAY Treatment Center Program Coordinato 916-875-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |