| NPI | 1649090929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE SUSAN KO Executive Director 916-416-0491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 171400000X |
| 225700000X Massage Therapist | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2024-10-12 |
| Last Update Date | 2025-03-30 |