| NPI | 1568257095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRINE MOTOKWA NTSANG CEO 209-486-2590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-10-06 |