| NPI | 1205458288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL JIMENEZ JIMENEZ President 209-406-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2023-01-03 |