| NPI | 1538440755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WEIGANT CEO 559-439-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 1044) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |