| NPI | 1487861407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HARGRAVE CEO 916-609-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA 942519001) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |