| NPI | 1114319555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY MICHELOTTI Executive Director 916-395-3552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 340084BN) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |