| NPI | 1043984206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORI M JONES Registered Behavioral Technician 559-684-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-27 |