| NPI | 1700633237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN N DIXON Primary Provider 530-400-9736 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-05-07 |