| NPI | 1497689152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY DANIEL JAQUES Medical Director 559-258-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2026-06-09 |
| Last Update Date | 2026-08-07 |