| NPI | 1497154165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA VILES Director Of Katie A. Program 209-239-2484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1629191978) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |