| NPI | 1952784035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT HOWARD Psychologist 209-938-8209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSB94021539) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |