| NPI | 1295858074 |
|---|---|
| Other Name | BHRS YOUTH OUTPATIENT- LOS BANOS |
| Entity Type | Organization |
| Authorized Contact | KURT CRAIG Compliance Officer 209-381-6818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2019-08-08 |