Organization
CACHE CREEK LODGE
Active
Parent organization
CACHE CREEK LODGE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CACHE CREEK LODGE, INC.
Authorized official
GABRIEL M SMITH (OWNER/DIRECTOR)
(530) 662-5727
Entity
Organization
Contact information
Practice address
435 ASPEN ST, WOODLAND, CA 95695-2665
(530) 662-5727
Mailing address
435 ASPEN ST, WOODLAND, CA 95695-2665
(530) 662-5727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A03430315
CA
Other
Enumeration date
01/26/2017
Last updated
06/22/2020
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