| NPI | 1770143646 |
|---|---|
| Doing Business As | CCI DAKOTA |
| Entity Type | Organization |
| Authorized Contact | CURTIS DONOVAN Director 559-261-5083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2020-08-03 |