| NPI | 1881166296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER STOCKMAN President 530-888-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2019-04-03 |