| NPI | 1699130328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA DAWN HILLE Unlicensed Mental Health Clinician 559-600-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA IMF86330) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA IMF86330) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA IMF86330) | |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |