| NPI | 1750873717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREEN CAMPOS Chief Executive Officer 559-600-4961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 251X00000X | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |