| NPI | 1124891585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALONDRA THOMPSON Health Program Manager 916-875-5485 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |