| NPI | 1316247455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRI ELLEN THOMPSON Co Owner Director 559-625-8176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 540020AP) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 540020AP) | |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2021-04-16 |