| NPI | 1326478769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY REYES CEO 916-617-2137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: CA 090111398) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: CA 69512) |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2013-11-22 |