NPI | 1720820178 |
---|---|
Doing Business As | MOUNTAIN VISTA FARM |
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 |