| NPI | 1922607092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A MARQUEZ Executive Director 559-721-5122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |