| NPI | 1538087671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ROSE GRAHAM Pmhnp Bc 209-626-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-07-07 |
| Last Update Date | 2026-07-07 |