| NPI | 1043332760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANISHA DENISE AUGUSTINE Support Counselor 559-248-0395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-08-11 |