| NPI | 1720221443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ERIC MONTEZ Interim Executive Director 559-264-5096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 100003AN) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2024-08-02 |