| NPI | 1831265495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESTER VORETT MCDONALD Executive Director 707-552-5295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 480005AN) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2018-03-21 |