| NPI | 1912347741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI GIBSON Clinical Director 559-327-9434 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA #PSY12625) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |