| NPI | 1407531338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY FEDELE Program Director 559-978-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2025-10-27 |