| NPI | 1215946595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SCOTT FISKE Administrative Nurse 916-874-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: CA 049038) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |