| NPI | 1295897601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANG NGUYEN Director 559-453-4099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2025-09-11 |