| NPI | 1659532612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYDIA EDITH RODRIGUEZ-KARRERAH Program Manager 559-221-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2023-09-11 |