Organization
CSTL, INC.
Active
Other names
Clean & Sober Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD TROUTMAN CAS II, CRPM (CEO)
(916) 961-2691
Entity
Organization
Contact information
Practice address
8938 MADISON AVE, FAIR OAKS, CA 95628-4010
(916) 961-2691
Mailing address
8938 MADISON AVE, FAIR OAKS, CA 95628-4010
(916) 961-2691
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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