| NPI | 1841598646 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CAROLYN GROTH Pi Director 916-747-7967 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry | 
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2011-03-03 | 
| Last Update Date | 2012-01-09 |