| NPI | 1013265859 |
|---|---|
| Doing Business As | FIRST STREET CENTER OUTPATIENT AB 109 |
| Entity Type | Organization |
| Authorized Contact | SHARON MARIE ROSS Chief Operating Officer 559-732-8086 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2023-01-03 |