| NPI | 1215076419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWAN UTECHT Dir, Dbh 559-600-6895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 000001084) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-09-25 |