| NPI | 1417070699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIBHA K UDUPA Msw Ii Intern 916-564-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: 3714) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |