| NPI | 1275088817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANI ANNE FANCIULLO Monitor 559-264-5096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 101YA04000X) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |