| NPI | 1588794861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JACOBSEN CFO 916-368-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 297000560) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA lcs 11552) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-05-29 |