| NPI | 1528810413 |
|---|---|
| Other Name | STEP UP ON SECOND -SACRAMENTO |
| Entity Type | Organization |
| Authorized Contact | DAVID MARK TAVLIN Chief Program Officer 310-985-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |