| NPI | 1013388966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN BRUTZMAN-LIVAK Owner 530-448-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29893) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: CA 29893) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |