| NPI | 1740711902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVONYA' L HAYES Mental Health Outreach Worker 209-468-3585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |