| NPI | 1316183700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEE ALLEN Director Of Contract Compliance 559-251-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 160006CN) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251X00000X | |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2024-01-04 |