| NPI | 1851569784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAE LINDER VP 916-608-0714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A53024) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 18464) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 32032) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 31130) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 44824) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A53024) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A69812) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A69812) | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2009-12-15 |