| NPI | 1376723668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETTE JAMESON Program Coodinator 209-558-5495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MW20309) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |