| NPI | 1851137780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN M FOGEL Owner / President 559-429-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |