| NPI | 1306230123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB MATTHEW BRADLEY-ROWE Executive Director 916-440-0889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management (Licence: CA 17979) | |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2024-06-11 |