| NPI | 1457149619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY G GARCIA Clinical Program Manager 559-277-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |