| NPI | 1790811875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE ALLEN SCHUCK Detox Counselor 805-636-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 420022en) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |