| NPI | 1730902420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGA ABGARYAN CEO 707-500-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-01 |