| NPI | 1407710908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORTNI FERGUSON Psychiatry Physician 916-420-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2025-12-10 |