| NPI | 1427676535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN J CAMPOS Operations Director 559-721-9279 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |