| NPI | 1639857683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DILLON Billing And Credentialing Specialis 530-277-7054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |