| NPI | 1437288222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MACHADO Executive Director 209-526-1476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2026-01-14 |