| NPI | 1700157328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN CARLEY KONDA Executive Director 559-784-9309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 540024CN) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |