| NPI | 1447108949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE E. BARRERA Clinical Director 385-247-8387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-03-19 |
| Last Update Date | 2026-03-19 |