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Organization

CACHE CREEK LODGE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER M MARTINEZ (EXECUTIVE DIRECTOR)
(530) 662-5727
Entity
Organization

Contact information

Practice address
435 ASPEN STREET, WOODLAND, CA 95695
(530) 662-5727
(530) 662-5727
Mailing address
435 ASPEN STREET, WOODLAND, CA 95695
(530) 662-5727
(530) 668-1198

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
570004CN
CA

Other

Enumeration date
05/03/2007
Last updated
04/20/2012
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