| NPI | 1699130872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI S COWDERY Sole Proprieter 925-367-9640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 51620) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |