| NPI | 1568584589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIEMH LAOH THUNG AO D Counselor Inte RN 209-381-6860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA RIT0703051016) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |