| NPI | 1518095488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWAN UTECHT Direc Dep Beh Health 559-600-6895 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: CA 000001091) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2013-09-05 |