| NPI | 1053601047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIANA COATES Office Manager 209-467-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A492240) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-12 |