| NPI | 1063836369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA KAY LEWIS Basic Skills Trainer 916-284-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |