| NPI | 1154939700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEORA WILLIAMS COO 916-216-6968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |