| NPI | 1750876835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN ANN DOCKERY Director Of Rcm 800-929-5904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190788BP) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2020-10-30 |