| NPI | 1659815694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA ANTONSON CEO 916-712-0578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A113832) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |