| NPI | 1114523248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM DOYLE CEO 209-607-3014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |