| NPI | 1487709895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MICHELLE MCCARTER Mental Health Clinician 559-907-6592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA IMF41053) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-08-11 |