| NPI | 1972039725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY MAYNARD President & CEO 916-353-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 43-014-01-120) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |