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 |