| NPI | 1689851669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL C REYES CEO 209-357-3220 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA R0979347) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA R0979347) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA R0979347) | |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |