Agave Medical Fl PA
NPI #1790530822 in Madera, California
Provider Information
- NPI Number
- 1790530822
- Entity Type
- Organization
- Organization Name
- Agave Medical Fl PA
- Primary Specialty
- Psychologist
- Enumeration Date
- Apr 22, 2024
- Last Updated
- Apr 22, 2024
Practice Location
- Address
- 16397 ROAD 37
- City
- Madera
- State
- California
- ZIP Code
- 93636-8224
- Phone
- (510) 871-5025
Authorized Official
- Name
- MICHAEL DOMINIC SCAHILL, MD
- Title
- CEO
- Phone
- (510) 871-5025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Psychologist - Health — Health |
| Social Worker |
| Psychologist |
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