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 |