NPI | 1710373808 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE DEANNE BLANCHARD Office Manager 209-579-3301 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2015-04-15 |
Last Update Date | 2015-04-15 |