NPI | 1134869118 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE BOYADJIAN CEO 559-917-5336 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
343800000X Secured Medical Transport (VAN) | |
343900000X Non-emergency Medical Transport (VAN) | |
251E00000X Home Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2022-03-29 |
Last Update Date | 2022-03-29 |