Fraulein Lacy
NPI #1861820706 in Atwater, California
Provider Information
- NPI Number
- 1861820706
- Entity Type
- Individual
- Name
- Fraulein Lacy
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Oct 30, 2013
- Last Updated
- Oct 30, 2013
Practice Location
- Address
- 559 MENDOCINO CT
- City
- Atwater
- State
- California
- ZIP Code
- 95301-4230
- Phone
- (209) 357-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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