| NPI | 1043622137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF PAYNE Executive Director 530-751-9904 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2014-10-20 |