| NPI | 1871794909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI NEWMAN Executive Director 209-357-5261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 240001EN) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2023-03-31 |