| NPI | 1477967479 |
|---|---|
| Doing Business As | FIRST STREET CENTER OUTPATIENT SUD |
| Entity Type | Organization |
| Authorized Contact | SHARON M ROSS Regional Director 559-221-5191 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2016-02-26 |