| NPI | 1437868734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BAILEY CFO 916-922-9868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |