| NPI | 1669884094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE SPAULDING Payor Relations Supervisor 916-567-7893 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 332900000X Non-Pharmacy Dispensing Site (Licence: NC 200101261) | |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2024-03-08 |