Organization · Type 2 NPI

Shamanic Living Center

Substance Use Disorder Rehabilitation Clinic/Center · Diamond Springs, CA

NPI number 1407346513 Active

Practice location

484 Pleasant Valley Road Ste 4
Diamond Springs, CA 95619-9101

Call (530) 344-7633 Map

Fax (530) 497-5202

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

About NPI 1407346513

Shamanic Living Center's National Provider Identifier is 1407346513, issued on May 14, 2018. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Diamond Springs, CA. The record was last updated on Feb 15, 2019.