| NPI | 1386097491 |
|---|---|
| Doing Business As | PRIME MENTAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LANCE ZIMMERMAN CEO 559-393-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 25653) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY27555) |
| 103TP0016X Psychologist Prescribing (Medical) (Licence: CA A33871) | |
| 1041C0700X Social Worker Clinical (Licence: CA ASW 73111) | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2017-03-15 |