| NPI | 1104681022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOR XIONG POPPER Executive Clinical Director 559-266-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |