| NPI | 1093153652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA C. RAMIREZ Psychiatric Technician 209-275-7196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA P36616) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |