NPI | 1679751515 |
---|---|
Other Name | GENESIS FAMILY CENTER MHSA - TAY |
Entity Type | Organization |
Authorized Contact | CAROL DELA TORRE Deputy Administrator 559-439-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2008-02-01 |
Last Update Date | 2008-02-01 |