| NPI | 1497576011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE VALENTINE Director 209-468-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |