| NPI | 1174165948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA SANCHEZ Associate Superintendent, Business 916-228-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |