NPI | 1609264878 |
---|---|
Doing Business As | EL CONCILIO |
Entity Type | Organization |
Authorized Contact | WILTON WIELNEGA Manager 209-888-8334 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2014-12-22 |
Last Update Date | 2014-12-22 |