| NPI | 1295972446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE DEAN WHITE Executive Director 559-681-1947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2019-05-23 |