| NPI | 1689912032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN D VANDENBERG Clinical Director 530-748-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1073547) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |