| NPI | 1740315563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE CARMEN URIBE Detox Program Manager 805-963-1836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 420022EN) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |