NPI | 1033875885 |
---|---|
Entity Type | Organization |
Authorized Contact | GLORETA JOHNSON CEO 559-917-3443 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2021-11-16 |
Last Update Date | 2021-11-16 |