| NPI | 1720820178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KIDD Chief Executive Officer 707-996-6716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |