| NPI | 1407138407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BUCK Chief Executive Officer 916-364-8395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |