| NPI | 1528210598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE ELAINE YORK Mental Health Clinician Ia 530-676-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA imf50208) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |