| NPI | 1922512508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANITA SANDS Executive Director/CEO 916-532-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 310023AP) |
| Enumeration Date | 2017-11-19 |
| Last Update Date | 2022-04-21 |