| NPI | 1619394897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN HUDSON Executive Director 916-520-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCS 14463) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |