| NPI | 1922541317 |
|---|---|
| Doing Business As | CLEAN & SOBER RECOVERY HOME |
| Entity Type | Organization |
| Authorized Contact | JOHN PERRY President 916-990-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2016-12-02 |