| NPI | 1477886950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY SILVEIRA Director Of Quality Assurance 209-614-1108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2025-06-09 |