| NPI | 1467654483 |
|---|---|
| Doing Business As | IFT PSYCH CLINIC |
| Entity Type | Organization |
| Authorized Contact | RICHARD DEGETTE Behavioral Health Director 209-525-6225 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2016-11-04 |