NPI | 1821143090 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURIE CLOTHIER President/CEO 916-609-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2007-01-25 |
Last Update Date | 2022-07-21 |