| NPI | 1255662698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE MELTON Program Director 559-675-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 101yA0400X) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |