| NPI | 1932238482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L HOLT Director 559-600-9058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: CA 000001045) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2022-12-30 |