| NPI | 1396399101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEE ALLEN Quality Assurance Assistant 559-251-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |