| NPI | 1730851320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MICHELE EVANS CEO 559-437-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2021-10-01 |