| NPI | 1871347989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON RODNEY SPENCER Executive Director 559-307-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |