BENITO GOMEZ

MERCED, CA
NPI1134978448
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1560460524)
Enumeration Date2024-05-17
Last Update Date2024-05-17
Business Address
BENITO GOMEZ RADT I
1301 YOSEMITE PKWY
MERCED, CA 95340-5203
Phone number: 209-722-6335
Mailing Address
BENITO GOMEZ RADT I
2852 CENTER ST
STEVINSON, CA 95374-9795
Phone number: 209-226-5765