| NPI | 1336958248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMEKA S FULLER Social Worker 916-821-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 1041S0200X Social Worker, School | |
| 172V00000X Community Health Worker | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |