NPI | 1154591121 |
---|---|
Doing Business As | PROMESA BEHAVIORAL HEALTH-MARKS |
Entity Type | Organization |
Authorized Contact | AMANDA IRENE REED Director 559-341-2394 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: CA 100043AN) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 1044) |
Enumeration Date | 2008-03-06 |
Last Update Date | 2024-09-05 |