| NPI | 1619000429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY SILVEIRA Director Of Quality Assurance 209-523-4610 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-01-10 |