| NPI | 1699177576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA R BUTLER-DAVIS CEO/Founder 916-600-5262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251E00000X Home Health |
| 251T00000X PACE Provider Organization | |
| 261Q00000X Clinic/Center | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |