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 |