| NPI | 1811560287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW TATUM CEO 559-593-9801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-11-30 |