| NPI | 1730779604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO ABARCA Executive Director 209-617-9456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-01-24 |
| Last Update Date | 2021-04-05 |