| NPI | 1629699327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CAMPOS Operations Director 559-721-9279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2025-09-22 |