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 |