| 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 |