| NPI | 1285450668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMANDO RODRIGUEZ CEO 209-490-9217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-23 |