| NPI | 1043541014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY YAEWON THYGESON CEO 916-580-5769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA A108395) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA A108395) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |