| NPI | 1619290467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE ANNE DAVIS Executive Director 916-248-2436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC40875) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2024-09-27 |