| NPI | 1841657582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE R COLLUM Owner, Administrative Director 209-770-4582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 050006AP) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |