NPI | 1851718597 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES DOUGLASS Program Director 559-687-0929 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA VN186583) |
Enumeration Date | 2014-03-19 |
Last Update Date | 2014-03-19 |