| NPI | 1326053265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B SINGER Clinical Social Worker 916-874-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center Prison Health (Licence: CA LI 10571) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-08-22 |