| NPI | 1689710949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA GILL Mental Health Clinician 559-341-3246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA IMF 52531) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2011-04-06 |