| NPI | 1629751524 |
|---|---|
| Doing Business As | X STREET |
| Entity Type | Organization |
| Authorized Contact | MARLYN SEPULVEDA COO 916-441-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-08-08 |