| NPI | 1932345386 |
|---|---|
| Other Name | MARTIN GIPSON SOCIALIZATION CENTER |
| Entity Type | Organization |
| Authorized Contact | HOLLY WHITE Executive Director 209-946-2132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2019-11-13 |