| NPI | 1275604977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA ELIZABETH YEVDAKIMOV RECHS Program Manager 916-875-0847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2021-03-10 |