| NPI | 1235218769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN MARONEY Administrator 559-252-6844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 347001429) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-06-30 |