NPI | 1649475831 |
---|---|
Doing Business As | EAST COUNTY WOLLAM HOUSE |
Entity Type | Organization |
Authorized Contact | TONI LEE WILDER Program Coordinator 925-458-1978 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 070001SN) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2020-08-22 |