| NPI | 1689121733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY E MCCOY Therapist 530-368-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA 90420) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 90420) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |