| NPI | 1306923446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK M. GODLEY COO / CFO 925-957-5405 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-05-28 |