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 |