| NPI | 1790083277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ANN TORRES Clinician 209-204-2159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 65046) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |