| NPI | 1427780360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSYE BARSTOW Administrator 530-893-4245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-06-29 |