| NPI | 1669213534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA A DUNLAP Administrator 559-431-3900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-06 |