| NPI | 1881892461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE MANUEL CASTILLO Substance Abuse Counselor 209-577-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 25) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |