Shamanic Living Center
NPI #1407346513 in Diamond Springs, California
Provider Information
- NPI Number
- 1407346513
- Entity Type
- Organization
- Organization Name
- Shamanic Living Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SHAMANIC LIVING CENTER
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- May 14, 2018
- Last Updated
- Feb 15, 2019
Practice Location
- Address
- 484 PLEASANT VALLEY ROAD STE 4
- City
- Diamond Springs
- State
- California
- ZIP Code
- 95619-9101
- Phone
- (530) 344-7633
Authorized Official
- Name
- LISA MASTROPIERI
- Title
- ADMINISTRATOR
- Phone
- (530) 344-7633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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