| NPI | 1134264898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENITA DICKSON LEE Counselor 559-237-3420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |