| NPI | 1710790399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY KNUTSON Executive Director 916-203-7848 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |