| NPI | 1114552981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER T CAMPBELL Owner 530-334-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2024-11-27 |