| NPI | 1093537318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MCCOLLUM-COYLE COO 559-500-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-11-09 |