| NPI | 1639034804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BERKOWITZ Executive Director 209-550-7352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251B00000X Case Management | |
| Enumeration Date | 2025-12-19 |
| Last Update Date | 2025-12-19 |