NPI | 1437657301 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY DWAYNE MORRISON Program Director 916-960-7795 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA IMF83840) |
Enumeration Date | 2018-01-25 |
Last Update Date | 2018-01-25 |