| NPI | 1710449350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL MENTESH CEO 916-380-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2024-02-22 |