| NPI | 1700112265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA J KEETH Executive Director 916-473-5764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 340084AN) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |