NPI | 1700621901 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT SAMPLE Authorized Official 559-231-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2024-06-28 |
Last Update Date | 2024-06-28 |