| NPI | 1487031472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LOURDES DIAZ Registered Nurse 559-457-9720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 700143) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |