| NPI | 1427322262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JACOBSEN CFO 916-368-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 317004049) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2018-05-29 |