| NPI | 1811200439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANE HELDING Executive Director 209-579-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 50009EN) |
| Enumeration Date | 2010-07-24 |
| Last Update Date | 2012-05-25 |