| NPI | 1598200263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL NUNEZ Executive Director 209-941-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1700115721) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |