Organization
CRUTCHER'S SERENITY HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINDY LUBY (BUSINESS MANAGER)
(916) 682-1368
Entity
Organization
Contact information
Practice address
50 HILLCREST RD, SAINT HELENA, CA 94574-9755
(707) 963-3192
(707) 963-2309
Mailing address
PO BOX 1297, ELK GROVE, CA 95759-1297
(916) 682-1368
(916) 682-4533
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
280001AP
CA
Other
Enumeration date
08/18/2007
Last updated
08/18/2007
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