| NPI | 1003645367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA CLARK CEO 559-547-7945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-30 |