| NPI | 1710148515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH P MEEKER Deputy Director 916-654-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2009-12-15 |