| NPI | 1639179658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H BUETO Executive Director 916-369-5447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 340062AN) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2020-08-22 |