| NPI | 1972188563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MARIA HILLIARD Owner 925-464-3916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-03-15 |