| NPI | 1316164825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE SHWEKY Student & Family Coordinator 916-643-9413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |