| NPI | 1760243836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN LEAZENBY President 916-314-3264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2025-07-09 |