| NPI | 1114431897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA BARRON Office Manager 559-355-6128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2022-04-01 |