| NPI | 1285322701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA PEOPLES Executive Director 209-430-2917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |