| NPI | 1922240050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL T CROSKEY Substance Abuse Specialist Ii 559-453-4099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |