| NPI | 1609554039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER SUSAN ROSDAIL Owner 916-521-6280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2024-07-27 |