| NPI | 1073088316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE ELDRIDGE CFO 530-622-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2020-09-08 |