| NPI | 1215313523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DAVID LEVINE President/CEO 530-902-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2024-03-26 |