| NPI | 1922248269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE ELIZABETH EDWARDS Adminstration 916-405-4612 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 101YAO4OOX) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |