| NPI | 1982756714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE R WIECHERT Director Of Financial Analysis 530-230-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-11-12 |