| NPI | 1073482105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FNU PRIYANKA Chief Medical Officer 916-576-7893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-05 |