NPI | 1275838690 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN T NOWICKI Physician, President 530-220-3039 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA A078949) |
Enumeration Date | 2011-01-15 |
Last Update Date | 2015-06-09 |