| NPI | 1881304822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY HENINGER-DAY Program Director 559-978-7803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2025-01-31 |