NPI | 1205213139 |
---|---|
Other Name | TRANSITIONAL AGE YOUTH PROGRAM |
Entity Type | Organization |
Authorized Contact | SUSAN L HOLT Director 559-600-9058 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2015-04-29 |
Last Update Date | 2022-09-16 |