| NPI | 1932935301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JONES Owner 209-331-9437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |