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 |