Individual provider · Type 1 NPI

Fraulein Lacy

Substance Abuse Rehabilitation Facility · Atwater, CA

NPI number 1861820706 Active

Practice location

559 Mendocino Ct
Atwater, CA 95301-4230

Call (209) 357-5200 Map

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X24001EN (CA)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1861820706

Fraulein Lacy's National Provider Identifier is 1861820706, issued on Oct 30, 2013. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Atwater, CA. The record was last updated on Oct 30, 2013.