| NPI | 1962605840 |
|---|---|
| Other Name | POWERINN RETRO-CCMS |
| Entity Type | Organization |
| Authorized Contact | ANN EDWARDS-BUCKLEY Director 916-875-9904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |