NPI | 1497958383 |
---|---|
Other Name | POWERINN RETRO-YIS |
Entity Type | Organization |
Authorized Contact | ANNE EDWARDS-BUCKLEY Director 916-875-9904 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2007-06-07 |
Last Update Date | 2020-08-22 |