| NPI | 1619041449 |
|---|---|
| Doing Business As | CCS PORTERVILLE MTU |
| Entity Type | Organization |
| Authorized Contact | RAYMOND BULLICK Director Of Health Services 559-737-4669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: Not applicable) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |