| NPI | 1558853135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH HICKS Secretary, Board Of Directors 916-698-5423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |