| NPI | 1003272287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY ANNE CHANG Owner 916-303-4353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A118995) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: CA A118995) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2022-08-03 |