| NPI | 1558817031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VILMA L HIDALGO Owner/President 209-855-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A91436) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |