| NPI | 1518401900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONTINESE HUEY Director 209-451-9475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 21817) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2019-07-22 |