| NPI | 1417768722 |
|---|---|
| Doing Business As | ALTERNATIVE AWAKENINGS PSYCHIATRY |
| Former Legal Business Name | ALTERNATE AWAKENINGS PSYCHIATRY, A PROFESSIONAL NURSING CORPORATION |
| Entity Type | Organization |
| Authorized Contact | JULIE ANN THERESE DE LOS SANTOS CEO 530-691-0194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |