| NPI | 1780199711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA AYON NAVARRETE Behavioral Health Clinician 209-480-0211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 75527) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |