| NPI | 1154147445 |
|---|---|
| Doing Business As | MACT BEHAVIORAL HEALTH, SONORA |
| Entity Type | Organization |
| Authorized Contact | JOHN SHAWVER ALEXANDER Executive Director 209-754-6262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |