| NPI | 1518446665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LYNNE DEVINE Principal/Manager 530-228-5212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR T-1108) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2020-10-20 |