| NPI | 1891340279 |
|---|---|
| Doing Business As | PRIVATE PRACTICE THERAPY |
| Entity Type | Organization |
| Authorized Contact | LAURA LYNN NEIMARK Lead Therapist 530-416-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |