| NPI | 1821623018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMICA MORTON Owner 916-869-2416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2020-04-17 |