| NPI | 1508441403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KELLEY CRIPPEN Director Of Insurance/ Finances 530-680-2810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2024-02-12 |