| NPI | 1780184606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN JOHNSON Operations Director 559-412-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-07-06 |