| NPI | 1508648163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN SISNEROZ CEO 559-250-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |