| NPI | 1316307747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA DIGGS Administrator 530-592-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2021-09-29 |