| NPI | 1790453033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK FRIEDLANDER Medical Director 916-669-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-09-01 |