| NPI | 1023785771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANNE LOVE Clinical Director 916-474-9325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-29 |
| Last Update Date | 2022-08-03 |