| NPI | 1720392137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KEN RIEDL Clinical Director 916-771-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA RO103211032) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |