| NPI | 1750012605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA M BURTON Owner 916-613-7122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2022-07-21 |