| NPI | 1699152991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA MORENO AO D Counselor 1 916-394-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA m1306272236) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |