| NPI | 1912159344 |
|---|---|
| Other Name | PSYCHIATRIC HEALTH FACILITY |
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN YVETTE MAGEE Mental Health Worker 559-776-8652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |