| NPI | 1104223742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BJ DAVIS Executive Director 916-395-3552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 340084BN) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |