| 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 | 2025-01-14 |