| NPI | 1679850358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN DORNEY Director Of Administration 530-225-3749 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2023-02-08 |