| NPI | 1851718597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DOUGLASS Program Director 559-687-0929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA VN186583) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |