| NPI | 1740786557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA BARRON Office Manager 559-355-6128 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 100002AP) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2022-04-01 |