| NPI | 1134702327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY JO MONSON Billing Administrator 530-245-5808 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |