| 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 |