| NPI | 1679919617 |
|---|---|
| Doing Business As | MI CASA RECOVERY HOME |
| Entity Type | Organization |
| Authorized Contact | PAUL CRUZ Executive Director 916-394-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 340004BN) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2014-03-19 |