| NPI | 1912348194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR MANUEL PADILLA Clinical Supervisor 559-485-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 100006A5) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |