| NPI | 1699827956 |
|---|---|
| Other Name | PEN |
| Entity Type | Organization |
| Authorized Contact | TERRY JOANNE BASILE Executive Director 530-893-0391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |