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 ST, WOODLAND, CA 95695-2665
(530) 662-5727
Mailing address
435 ASPEN ST, WOODLAND, CA 95695
(530) 662-5727
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
570004BN
CA
Other
Enumeration date
04/17/2012
Last updated
04/17/2012
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