| NPI | 1104988575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANG NGUYEN Director 559-453-4099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC37536) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |