| NPI | 1013049444 |
|---|---|
| Former Legal Business Name | NO OTHER NAME |
| Entity Type | Organization |
| Authorized Contact | HERMILLE NMN CATZALCO Mental Health Clinician I 209-558-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 44780) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |