| NPI | 1144716549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE VANCE CEO 209-598-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 43158) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-10-25 |