| NPI | 1942427281 |
|---|---|
| Other Name | FEE FOR SERVICE PSYCHOLOGIST |
| Entity Type | Organization |
| Authorized Contact | JOEL CHAIN Assistant Director 530-879-3824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2016-09-29 |