| NPI | 1164135604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISRIN BROOKE FREE CEO/Owner 530-354-0455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2022-12-29 |