| 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 |