| NPI | 1841328259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LEAL LOPEZ Licensed Vocational Nurse 559-594-4969 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA VN212725) |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA VN212725) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2009-01-16 |