| NPI | 1386246197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHON DAVID BAIRD President/CEO 559-801-8944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2024-06-12 |