| NPI | 1033725825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA BONILLA JACOME President/CEO 916-536-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2025-01-17 |