| NPI | 1942029459 |
|---|---|
| Doing Business As | ITZA CORAZON COMMUNITY SERVICES LL |
| Entity Type | Organization |
| Authorized Contact | PEDRO F RIDDELL CEO/Therapist 530-786-9882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 251K00000X Public Health or Welfare | |
| 261Q00000X Clinic/Center | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-10 |