NPI | 1326265141 |
---|---|
Other Name | FEE FOR SERVICE MIXED SPECIALTY GROUP |
Entity Type | Organization |
Authorized Contact | JOEL CHAIN Assistant Director 530-879-3824 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2007-04-20 |
Last Update Date | 2016-09-29 |