| NPI | 1912368176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GAMBINI Administrator 559-594-4855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: CA 247200700) |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: CA 540014BN) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |