| NPI | 1386178689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA ISABEL K'BURG Executive Direct 916-686-9209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC 42263) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2024-11-08 |