| NPI | 1003700816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMENA KIRYAKOUS CEO 209-495-7724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |