Organization
SKYWAY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE A LODGE (COUNSELOR)
(530) 354-2609
Entity
Organization
Contact information
Practice address
40 LANDING CIRCLE, SUITE #1, CHICO, CA 95973
(530) 898-8326
Mailing address
40 LANDING CIRCLE, SUITE #1, CHICO, CA 95973
(530) 898-8326
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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