| NPI | 1184102972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MIKHA Chief Director 209-604-5969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |