| NPI | 1679466759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAKOTA ANN PITSKER Quality Assurance Manager 916-840-1148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |