| NPI | 1568338697 |
|---|---|
| Doing Business As | YOUTH CRISIS RESIDENTIAL PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JESSICA BORELLI Quality Assurance 209-576-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-12-16 |