| NPI | 1518333590 |
|---|---|
| Other Name | IMAGINE YOU, INC |
| Entity Type | Organization |
| Authorized Contact | DOROTHY SHANKLIN Director 559-549-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: CA 107203239) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 107203239) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 107203239) | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: CA 107203239) | |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2021-05-05 |