| NPI | 1336905322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY D DILLARD-MOIJUEH Pmhnp 916-538-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |