| NPI | 1093690315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ALLEN Deputy Administrator 559-251-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-06 |