NPI | 1053882035 |
---|---|
Other Name | INTEGRATED FORENSIC TEAM - DAY REPORTING CENTER SUBSTANCE USE DISORDER |
Other Name | IFT - DAY REPORTING CENTER SUBSTANCE USE DISORDER SERVICES |
Entity Type | Organization |
Authorized Contact | RUBEN IMPERIAL Behavioral Health Interim Director 209-525-6108 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2018-12-17 |
Last Update Date | 2019-10-11 |