| NPI | 1396190930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA REED Owner 530-524-8729 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |