| NPI | 1588040760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA PREZIOSI Social Work Intern 551-427-7406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |