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
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 DisorderRehabilitation, Substance Use Disorder

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