Organization Name: | SKYWAY HOUSE |
NPI Number: | 1003032517 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER CARRALHO (EXECUTIVE DIRECTOR) |
Mailing Address: | 564 Rio Lindo Ave Ste 103 Chico |
State: | CA US |
Postal Code: | 959261852 |
Phone Number: | 5308988326 |
Fax Number: | 5308980239 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 040006CN |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |