| NPI | 1639207632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA SUE TAYLOR Interim Deputy Director 559-453-5798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA 000001075) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |