| NPI | 1487468062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HEWITT President 916-235-3179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |