| NPI | 1073837571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN E. DAVEY Executive Director 559-999-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2010-03-26 |