Organization
SELF ACCEPTANCE RECOVERY HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ALAN STACY (CEO)
(707) 294-9498
Entity
Organization
Contact information
Practice address
1115 JACOBS DR, DIXON, CA 95620-3252
(707) 294-9498
Mailing address
1540 UTAH CT, DIXON, CA 95620-9338
(707) 294-9498
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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