| NPI | 1750119061 |
|---|---|
| Doing Business As | SACRED LIFE RECOVERY SERVICES |
| Entity Type | Organization |
| Authorized Contact | RAEVAN SHEPHERD Counselor 707-295-2304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-26 |