NPI | 1841640315 |
---|---|
Entity Type | Organization |
Authorized Contact | IAN ROY Insurance Director 916-533-4285 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2016-06-15 |
Last Update Date | 2020-02-19 |