| NPI | 1659100543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SANDERS Counselor 530-558-1362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |