| NPI | 1144360744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE LEE Regional Vice President 559-251-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 100010GN) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |