| NPI | 1871195446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY TYLER GOMEZ CEO 559-331-5214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103T00000X Psychologist |
| 133V00000X Dietitian, Registered | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |