| NPI | 1871702803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L CLARK Therapist 530-798-8215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC 18395) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-08-13 |