| NPI | 1265567671 |
|---|---|
| Other Name | MHSA PEI-TAY |
| Entity Type | Organization |
| Authorized Contact | LORI BLACKBURN Vice President 209-955-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-06-25 |