| NPI | 1649918608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN QUIST Behavioral Health Director 916-875-9904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-05-20 |