| NPI | 1639568983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN KIDD Cbt Facilitator 559-264-7521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |