NPI | 1922176981 |
---|---|
Entity Type | Organization |
Authorized Contact | ALFRED ROWLETT COO 916-364-8395 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 347000518) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2020-08-22 |