| NPI | 1134698855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY LEE WILSON Director 530-605-1361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2019-06-06 |