| NPI | 1902236797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP COWINGS CEO 559-241-0364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 340064AP) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |