| NPI | 1295615045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DOLORES Administrator 916-385-4849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-09-03 |