| NPI | 1992378459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN IMPERIAL Behavioral Health Director 209-525-6225 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2025-06-25 |