NPI | 1831456516 |
---|---|
Entity Type | Organization |
Authorized Contact | BETTY MCORNELIUS Program Manager 916-395-3552 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA rw4528) |
Enumeration Date | 2012-04-18 |
Last Update Date | 2012-04-18 |