| NPI | 1740740091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH NATHANIEL HENDERSON CEO 530-854-4119 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2020-04-07 |