| NPI | 1649507484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME ESTER JACKSON President 559-307-3482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |