| NPI | 1356745665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYELLEN PISTALU Director Contract Compliance 559-251-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |