| NPI | 1639557655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA R AVILA CEO 559-916-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 422744) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |