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 |