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Organization

SHAMANIC LIVING CENTER

Active
Parent organization
SHAMANIC LIVING CENTER
Other names
Recovery In Action
Organization subpart
Yes

Provider details

NPI number
Legal business name
SHAMANIC LIVING CENTER
Authorized official
LISA MASTROPIERI (ADMINISTRATOR)
(530) 344-7633
Entity
Organization

Contact information

Practice address
484 PLEASANT VALLEY ROAD STE 4, DIAMOND SPRINGS, CA 95619-9101
(530) 344-7633
(530) 497-5202
Mailing address
484 PLEASANT VALLEY ROAD STE 4, DIAMOND SPRINGS, CA 95619-9101
(530) 344-7633
(530) 497-5202

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
05/14/2018
Last updated
02/15/2019
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