| NPI | 1225344096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE SPAULDING Manager 916-576-7893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 363AM0700X Physician Assistant, Medical | |
| 363A00000X Physician Assistant | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2026-05-05 |