| NPI | 1245897206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER CURRY MAYFIELD Executive Director 530-205-6245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2020-07-10 |