| NPI | 1629510557 |
|---|---|
| Doing Business As | A WISE RETREAT |
| Entity Type | Organization |
| Authorized Contact | JULIE BRAND-LOCKSHIN Executive Director 707-712-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 480035AP) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |