| NPI | 1669976619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KAY CURTIS Executive Director 916-296-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |