| NPI | 1821610999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT K SEYMOUR Executive Director 209-966-7095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 101Y00000X Counselor |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-12-09 |