| NPI | 1003280694 |
|---|---|
| Doing Business As | SAGE RIVER PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | SEAN MICHAEL COOK President 916-717-1725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2023-12-27 |