| NPI | 1265194583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM QUINN GREGORY Executive Director 916-630-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral | |
| 106H00000X Marriage & Family Therapist | |
| 103TH0100X Psychologist, Health Service | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-13 |