| NPI | 1710168158 |
|---|---|
| Doing Business As | COMMUNITY BEHAVIORAL INTERVENTION SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARTI HARRIS FREDERICKS Executive Director 209-477-9177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA M13967) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2012-03-22 |