| NPI | 1598066169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYSTI MEDINA CEO 559-321-1870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251B00000X Case Management (Licence: CA 107202360) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: CA 107202360) | |
| 251S00000X Community/Behavioral Health (Licence: CA 107202360) | |
| 251V00000X Voluntary or Charitable (Licence: CA 107202360) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2011-03-15 |