| NPI | 1093085789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARDO ARTURO BUSTOS-ROJAS A & D Counselor Iii 707-225-1664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 9604139) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |