| NPI | 1316080609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO VASQUEZ Executive Director 559-734-6042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 5416) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 540009CN) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |