| NPI | 1477244788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURIT MADRIGAL Managing Member 209-642-1731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |