| NPI | 1720557721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CAMERON Chief Executive Officer 916-769-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2019-05-30 |