| NPI | 1770323727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MYLES ANDERSON Owner 925-360-5207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |