| NPI | 1992248132 |
|---|---|
| Other Name | CHICO AB109 |
| Entity Type | Organization |
| Authorized Contact | SCOTT KENNELLY Director 530-891-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2021-03-22 |