| NPI | 1831228022 |
|---|---|
| Other Name | MEDICATION CLINIC - CHILD |
| Entity Type | Organization |
| Authorized Contact | TONY VARTAN Behavioral Health Director 209-525-6225 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2024-05-01 |