| NPI | 1336928647 |
|---|---|
| Doing Business As | LASSEN INTERVENTION |
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHARLENE PETERSEN Owner 530-310-2755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |