| NPI | 1144775586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CLARK Director 916-234-3346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: CA MFT 48768) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2017-10-19 |