| NPI | 1487306890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROSS TAGGART Owner 530-244-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0301X Psychiatry & Neurology, Brain Injury Medicine | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P0805X | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-11-07 |