Organization
THE ETERNITY CHALLENGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BEAUDRY (CEO)
(916) 716-5029
Entity
Organization
Contact information
Practice address
4200 ROCKLIN RD STE 1, ROCKLIN, CA 95677-2860
(916) 624-4428
Mailing address
4200 ROCKLIN RD STE 1, ROCKLIN, CA 95677-2860
(916) 624-4428
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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