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 |