| NPI | 1992864193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANG NGUYEN Director 559-453-4099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 261QM0801X) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |