| NPI | 1366787269 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | CYRUS MOAZAM Owner 916-505-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA PSY13748) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |