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Organization

CACHE CREEK LODGE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PETER M MARRTINEZ (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 STREET, WOODLAND, CA 95695-2665
(530) 668-1198

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790036812
CA
Enumeration date
09/28/2012
Last updated
10/18/2012
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