| NPI | 1326773615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW THOMAS TATUM CEO 559-326-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |