| NPI | 1457896490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY DANIELLE SICKLER Executive Director 916-652-5802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2024-08-28 |