| NPI | 1467898106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE RAYNOUR Executive Director 916-580-7821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |