| NPI | 1073608832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FNU PRIYANKA Authorized Official 559-490-2067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363AM0700X Physician Assistant, Medical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-01-27 |