| NPI | 1952673352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN PIMENTEL Deputy Administrator 559-265-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |