| NPI | 1033685417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEE ALLEN Quality Assurance Assistant 559-251-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |