| NPI | 1225344096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE SPAULDING Supervisor 916-576-7893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 4771) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2023-08-30 |