| NPI | 1114105962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAR CANNON Programs Manager/Director 916-388-9418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 3432) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2014-01-14 |