| NPI | 1750592184 |
|---|---|
| Other Name | FEE FOR SERVICE - PSYCHIATRIST |
| Entity Type | Organization |
| Authorized Contact | RUBEN IMPERIAL Behavioral Health Interim Director 209-525-6225 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-10-10 |