| NPI | 1013406248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL REITZ President 209-817-4586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-08-17 |