| NPI | 1073134474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CACERES Executive Clinical Director 385-881-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2026-01-27 |