| NPI | 1053195669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB ZAILIAN Chief Executive Officer 559-304-1883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-31 |