| NPI | 1104947787 |
|---|---|
| Other Name | PIONEER TWELVE STEP OUTPATIENT YOUTH PROGRAM |
| Entity Type | Organization |
| Authorized Contact | GERALDINE A OGANS Executive Director 559-781-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |