| NPI | 1255412060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MICHAEL O'REILLY Executive Director 916-921-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-04-18 |