| NPI | 1922420298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI RAIFORD Proogram Coordinator 707-644-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |