| NPI | 1598061657 |
|---|---|
| Other Name | BHRS YOUTH WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KURT CRAIG Compliance Officer 209-381-6818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2020-03-27 |