| NPI | 1841640307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN ROY Insurance Director 916-533-4285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2020-05-20 |