| NPI | 1326358813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY GONZALES Program Administrator 559-584-9033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA OP10-0184) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |