NPI | 1518333590 |
---|---|
Other Name | IMAGINE YOU, INC |
Entity Type | Organization |
Authorized Contact | DOROTHY SHANKLIN Director 559-549-6610 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
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 |