| NPI | 1073272928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI BERTAGNA Co Owner 530-338-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-21 |