| 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 |