| NPI | 1366249302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LYONS CEO 209-418-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103G00000X Clinical Neuropsychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103TC1900X Psychologist, Counseling | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2026-04-08 |