| NPI | 1104245489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO GILLAM Chief Executive Officer 559-981-2143 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 100091AN) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |