| NPI | 1760816060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNELL ADAMS Director 916-801-6549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: CA C54623) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-10-02 |