| NPI | 1174234777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL F ANDERSEN CEO 559-978-1507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |