| NPI | 1861238362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN CARNER CEO 559-422-7637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-03 |