| NPI | 1982828166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE LEE Regional Vice President 559-251-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 100010HN) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 100010FN) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |