| NPI | 1457085821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANA JONES Program Administrator 925-389-9093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-31 |