| NPI | 1174120992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD MICHAEL BEJARIN Mental Health Specialist Ii 209-221-2238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-28 |