| NPI | 1174651236 |
|---|---|
| Other Name | JUVENILE JUSTICE - CSOC |
| Entity Type | Organization |
| Authorized Contact | RUBEN IMPERIAL Behavioral Health Director 209-525-6225 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2022-03-10 |