NPI | 1750168043 |
---|---|
Entity Type | Organization |
Authorized Contact | HALEIGH SCOTT CEO 916-913-1542 |
Organization Subpart ? | No |
Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
Enumeration Date | 2023-09-11 |
Last Update Date | 2023-09-11 |