| NPI | 1285348086 |
|---|---|
| Doing Business As | LIFE PRACTICE OUTREACH |
| Entity Type | Organization |
| Authorized Contact | CARISA SALAZAR SHERWOOD Executive Director 916-798-5468 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |