| NPI | 1164638359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRIANA FREBERG Clinical Manager 559-741-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2024-07-15 |