| NPI | 1689480626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLYN SEPULVEDA Chief Operating Officer 916-441-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |