| NPI | 1740794338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANITA SANDS Executive Director/CEO 916-622-0874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 310023BP) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2018-03-29 |