| NPI | 1689458051 |
|---|---|
| Doing Business As | PREMIUM MENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARIELA GUTIERREZ Clinic Supervisor 209-522-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2024-08-09 |