| NPI | 1962724120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALETTE FARWELL Director 559-321-1309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2015-08-24 |