| NPI | 1245627520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAY L TEURMAN Owner 916-496-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFT40076) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-06-10 |