| NPI | 1730919929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER EVANS President 916-449-0475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-08-03 |
| Last Update Date | 2024-11-05 |