| NPI | 1831760073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN XIONG CEO 559-840-6425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 103TE1100X Psychologist Exercise & Sports | |
| 103TR0400X Psychologist Rehabilitation | |
| 171400000X | |
| 171M00000X Case Manager/Care Coordinator | |
| 172A00000X Driver | |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center Community Health | |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2024-12-23 |