| NPI | 1295029395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA LILLIAN NASH CEO 916-773-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 251500000X) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |