| NPI | 1801254958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LORN BAUDIZZON CEO 530-241-9276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCS 17258) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |