| NPI | 1528193778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RICHARD THOMPSON Counselor 559-237-3420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-06-17 |