Organization
SKYWAY HOUSE, INC.
Active
Other names
Skyway House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WAYNE DEICHLER, SUDCC II, CSC SUDCC II, CSC (EXECUTIVE DIRECTOR)
(530) 898-9424
Entity
Organization
Contact information
Practice address
392 CONNORS CT STE C, CHICO, CA 95926-1175
(530) 898-8326
(530) 898-0239
Mailing address
392 CONNORS CT STE C, CHICO, CA 95926-1175
(530) 898-8326
(530) 898-0239
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
040006CN
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
040006GN
CA
324500000X
Substance Abuse Rehabilitation Facility
040006LN
CA
Other
Enumeration date
04/17/2007
Last updated
01/07/2020
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