| 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 |