| NPI | 1306020011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL J VISSER President 530-889-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA PSY8619) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |