| NPI | 1871866285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE SPAULDING Payor Relations Supervisor 916-567-7893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2025-01-27 |