| NPI | 1467533737 |
|---|---|
| Doing Business As | PREMIUM MENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARIELA GUTIERREZ Clinic Supervisor 209-522-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-08-13 |