| NPI | 1952769689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUADALUPE VASQUEZ Clinical Psychologist 559-221-2571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY 22825) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |