| NPI | 1497685044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN FEDELE President 559-978-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2026-05-22 |
| Last Update Date | 2026-05-22 |