| NPI | 1811395288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ROBERT FEICHT CEO 209-887-3069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 390036AN) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |