| NPI | 1215072293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY CARLSON Executive Director 916-317-7230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 090002CN) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2021-09-23 |