| NPI | 1881934248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMA ZYKOFSKY Program Manager, Quality Management 916-875-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |