| NPI | 1386181329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A YANCY Pastor/President: Counselor 916-914-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization (Licence: CA Aii15590316) |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2017-02-08 |