| NPI | 1467291583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW THOMAS TATUM CEO 559-326-7775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |