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Fraulein Lacy
Substance Abuse Rehabilitation Facility in Atwater, California
NPI 1861820706

Fraulein Lacy is a Substance Abuse Rehabilitation Facility based in Atwater, CA. Fraulein Lacy practices in Atwater, CA. The NPI Number for Fraulein Lacy is 1861820706 and holds a License No. 24001EN (California).

The current practice location address for Fraulein Lacy is 559 Mendocino Ct, Atwater, CA and can be reached out via phone at 209-357-5200.

Location: 559 Mendocino Ct, Atwater, CA, 95301-4230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861820706
Provider Name
Fraulein Lacy
Credential
Provider Entity Type
Individual
Gender
Female
Address
559 Mendocino Ct, Atwater, CA, 95301-4230
Phone Number
209-357-5200
Fax Number
Provider Enumeration Date
10/30/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
559 Mendocino Ct
City
Atwater
State
California
Zip
95301-4230
Phone Number
209-357-5200
Fax Number
person
Provider Business Mailing Address Details
Address
559 Mendocino Ct
City
Atwater
State
California
Zip
95301-4230
Phone Number
209-357-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
24001EN (California)
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.
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