| NPI | 1962667782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SUSAN DENGLER President/Owner 510-520-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |